Penny Hollander Feldman, Ph.D. is Senior Vice President for
Research and Evaluation at the Visiting Nurse Service of New York (VNSNY) and Director of the Center
for Home Care Policy and Research. At the Center, she oversees a research
portfolio focused on improving the quality, outcomes and cost-effectiveness of
home-based care, helping older people better manage chronic conditions and
problems at home, developing age-friendly communities for a growing older
population, and supporting informed policy-making. The translation and
implementation of research in both service and policy settings has been an
issue of special interest to Dr. Feldman. Among the classic articles she has
published in this area are: “Just-in-time
evidence-based e-mail ‘reminders’ in home health care: Impact on patient
outcomes” Health Services Research, 40(3); "Strengthening research to
improve the practice and management of long-term care" [Milbank Quarterly,
81(2)] and "Improving communication between researchers and policymakers
in long-term care: Or researchers are from Mars; policymakers are from
Venus" [The Gerontologist, 41(3)].
Currently an Associate Professor (Courtesy) in the
Department of Public Health at Weill Medical College of Cornell University,
Feldman previously served on the faculty at HarvardUniversity
in the Department of Health Policy and Management at the Harvard School of Public
Health and at the John F. Kennedy School of Government.
Among the major projects Dr. Feldman is currently directing are:
1)
CHAMP: Collaboration for Home Care Advances
in Management and Practice, which is funded in
part through generous grants from The Atlantic Philanthropies and The John A.
Hartford Foundation.The purpose of
CHAMP is to advance geriatric home care excellence and to embed in home health
agencies the capacity for continuous practice improvement.CHAMP has the broad
endorsement of key industry stakeholders such as the National Association for
Home Care and Hospice, the Visiting Nurse Associations of America, and leading
home care agencies across the country, and builds on a 4-year experience of
demonstrated improvement in key home care processes and patient outcomes.
2)
Using
the Care Transitions Measure in Home Care Settings to Improve Outcomes and
Reduce Hospital Readmissions, funded by The
Commonwealth Fund. This study will test The Care Transitions
Measures to see whether home health care agencies and other post-acute care
providers can use it to: 1) assess how well a hospital prepares patients for
home care; 2) predict the level of care resources new patients will require; 3)
tailor services to patients’ individual needs; and 4) provide hospitals
with feedback on their transitional care. The findings will aid efforts
to reduce avoidable rehospitalizations and rein in spiraling costs.
3)
Improving
Medication Management Practices and Care Transitions Through Technology
(IMPACT), funded by the Agency for Healthcare Research and Quality.IMPACT is a randomized, controlled trial in
which researchers are testing an innovative IT intervention designed to improve
clinical practice and reduce the complexity of patients’ medication regimens. The
intervention includes a medication complexity algorithm, a sophisticated alert
system to flag patients at risk and electronically notify nurses on mobile
computers so that they can avert possible danger, and an electronic decision
support tool with specific practice recommendations to aid the nurse in
improving medication management for high risk patients.
4)
Home-Based
BP Interventions for African Americans, with funding from
the National Heart, Lung & Blood Institute.This project is assessing the effectiveness and cost-effectiveness of
two organizational interventions aimed at improving blood pressure (BP) control
among a high-risk, African American home care population.
5)
Beatrice Renfield Nursing Research Program, funded by The Beatrice Renfield
Foundation to promote activities that develop and disseminate new models of
home health nursing practice and education.
Feldman, P., Ryvicker, M., Rosati, R., Schwartz, T.,
Maduro, G. 2007. HHA Partnering Collaborative Evaluation:
Practice/Policy Brief. Prepared for the Office of the Assistant
Secretary for Planning and Evaluation, U.S. Department of Health and Human
Services.
Meredith, S., Feldman, P., Frey, D., Hall, K.,
Arnold, K., Brown, N. J., and Ray, W.A. 2001. Possible medication
errors in home health care.
Journal of the American Geriatrics
Society, 49(6): 719-724.
Donelson, S., Murtaugh, C., Feldman, P., et al.
March 2001. Clarifying the definition of homebound and medical
necessity using OASIS data. Final Report prepared for the
Office of the Assistant Secretary for Planning and Evaluation, U.S.
Department of Health and Human Services (Contract #HHS-100-99-0020). New
York, NY: Center for Home Care Policy and Research, Visiting Nurse Service
of NY.
Feldman, P. 1998. Work force issues and
quality of long-term care. Commissioned by the Committee on
Improving Quality in Long-Term Care, Division of Health Care Services,
Institute of Medicine as a background document for Wunderlich, G.S., and
Kohler, P., Editors; Improving the quality of long-term care, National
Academy Press, 2001.
Feldman, P. 1993.
Labor market issues in home
care. Harvard University, John F. Kennedy School of Government:
Faculty Research Working Paper Series, R94-3.
Feldman, P. and Zacker, H. 1991.
Key issues
in the survival and implementation of the Massachusetts Health Security
Act. Harvard School of Public Health.
Feldman, P.1991.
Worker recruitment and
retention in the home care industry: Strategies for averting a future
worker shortage. Invitational Conference on Home Care Personnel
Issues, Bigel Institute for Health Policy, Brandeis University.
Feldman, P.1990.
Report on the New York City
Field Support Demonstration. Harvard School of Public Health
(For the New York City Human Resources Administration).
Feldman, P. 1999.
From post-acute to chronic
care: Cost and policy implications of Medicare home health expansion. In: Advances in Long-Term Care. Vol. IV, Katz, P., Kane, R., Mezey,
M., eds.
New York: Springer Publications.
Blumenthal, D., Feldman, P., and Zeckhauser, R.
1981.
Misuse of technology: A symptom, not the disease.
In: Critical Issues in Medical Technology, McNeil, B, ed.
Massachusetts: Auburn House.
Feldman, P. and Roberts, M. 1980.
Magic
bullets or seven card stud: Understanding health care
regulation. In: Issues in Health Care Regulation, Gordon, R.,
ed. New York: McGraw-Hill.
Feldman, P. and Zeckhauser, R. 1978.
Some
sober thoughts on health care regulation. In: Regulating
American Business, Argyris, et al. San Francisco, CA: Institute of
Contemporary Studies, 93-123.